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Supplemental Claims Examiner

The Standard

Join The StandardThe next part of your journey is right around the corner — with The Standard.A genuine desire to make a difference in the lives of others is the foundation for everything we do. With a customer-first mindset and an intentional focus on building strong teams, we've been able to uphold our legacy of financial stability while investing in new, innovative technologies that support the needs of our customers. Our high-performance culture focused on operational excellence thrives thanks to remarkable people united by compassion and a customer-first commitment. Are you ready to make a difference?Job SummaryThis role is responsible for adjudicating and processing supplemental insurance claims from intake through final payment. The position focuses on gathering and analyzing claim information, verifying eligibility, making accurate benefit decisions, and ensuring timely, precise payments. You'll manage each claim end-to-end while delivering responsive, compassionate service to claimants, policyholders, and partners. The role also contributes to continuous improvement by bringing forward customer insights, identifying process gaps, and collaborating with teammates to enhance the overall claims experience.Key ResponsibilitiesManage claim intake, review, and communication across both digital and paper channels.Verify eligibility, analyze coverage details, and adjudicate supplemental insurance claims.Complete the full payment process, including distribution, authorization, and lost-check resolution.Apply claim management strategies to ensure accurate payments and appropriate financial outcomes.Participate in continuous improvement efforts by identifying issues, sharing customer insights, and supporting workflow enhancements.Skills and Background You'll NeedEducation: High School Diploma or equivalent.Experience: 2+ years of experience in supplemental claims processingPrior experience with medical billing or CPT coding.Strong ability to analyze information, interpret policy provisions, and make accurate claim decisions.Proficiency with Microsoft Office applications (Word, Outlook, Excel, PowerPoint).Experience collaborating with employers, brokers, TPAs, and other external partners.Familiarity with continuous improvement practices or customer-experience-focused workflows.Key Behaviors of a Successful CandidateAdaptability: Adjusts quickly to changing priorities and embraces new ways of working.Improvement Mindset: Seeks opportunities to streamline processes and enhance the customer experience.Driving Success: Takes initiative, pursues goals with persistence, and remains resilient when challenges arise.Why Join The Standard?We have built an enduring legacy of stability, financial strength and exceptional customer service through the contributions of the service-oriented people who choose to work at The Standard. To ensure we can attract and retain the best talent, when you join The Standard you can expect:A rich benefits package including medical, dental, vision and a 401(k) plan with matching company contributionsAn annual incentive bonus planGenerous paid time off including 11 holidays, 2 wellness days, and 8 volunteer hours annually — PTO increases with tenureA supportive, responsive management approach and opportunities for career growth and advancementPaid parental leave and adoption/surrogacy assistanceAn employee giving program that double matches your donations to eligible nonprofits and schoolsIn addition to the competitive salary range below, our employee-focused benefits support work-life balance. Learn more about working at The Standard.Eligibility to participate in an incentive program is subject to the rules governing the program and plan. Any award depends on a variety of factors including individual and organizational performance.The actual compensation for this role will be based on a combination of education and experience, knowledge and skills, position budget, internal equity, and market data.Salary Range:21.63 - 29.45Positions will be posted for at least 5 days from original posting date.

Vacancy posted 6 hours ago
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